NPIMap

Organization Active NPI

Restoring Bodies and Minds, LLC

  • Community/Behavioral Health Agency
  • Creedmoor, NC
National Provider Identifier
1235491507
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-039-055 Issued in NC
Legal business name
RESTORING BODIES AND MINDS, LLC
Practice address
2555 Capitol Dr Ste E4
Creedmoor, NC 27522-7398
Phone
(919) 529-2215
Fax
(919) 529-2239
NPI assigned
Jun 13, 2012
Last updated
Jun 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Patrice Shavone Brown, B.A.
Title
Owner
Phone
(252) 820-0652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-039-055 NC Primary

Addresses

Primary practice location

2555 Capitol Dr Ste E4
Creedmoor, NC 27522-7398

Mailing address

PO Box 101
Townsville, NC 27584-0101
Phone (919) 529-2215

National Provider Directory

National Provider Directory
Tax ID family
Restoring Bodies and Minds LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1235491507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "TOWNSVILLE",
            "state": "NC",
            "postal_code": "275840101",
            "telephone_number": "919-529-2215",
            "fax_number": "919-529-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 CAPITOL DR STE E4",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275227398",
            "telephone_number": "919-529-2215",
            "fax_number": "919-529-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORING BODIES AND MINDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "SHAVONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-820-0652",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-039-055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creedmoor, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.